Individual
MRS. ANDREA DIANE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
11022 E 85TH PL, TULSA, OK 74133-2584
(918) 249-4759
Mailing address
11022 E 85TH PL, TULSA, OK 74133-2584
(918) 249-4759
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R 0073430
OK
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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